Ob-Gyn Coding Alert

READER QUESTIONS :

Tackle This Split Postpartum Care Scenario

Published on Wed Sep 16, 2009

Question: If an ob-gyn (who is not part of our practice) bills 59515 and does postpartum care in the hospital and two-week incision check, can one of our obgyns (who is part of our practice) bill 59430 for the six week postpartum check? Or should we report an E/M service with diagnosis V24.2?

Kentucky Subscriber

Answer: Why did the patient present to the other obgyn for the final visit? Code 59515 (Cesarean delivery only; including postpartum care) includes all postpartum care.

If your ob-gyn is the one billing only for the six-week visit, you will have to report a problem E/M visit (99201-99215, Office or other outpatient visit ...) with a diagnosis of V24.2 (Routine postpartum follow-up).

Be forewarned: The patient's payer may not reimburse you for this because they have already paid the previous ob-gyn for all the care. Or, the payer may ask the other ob-gyn for some money back.

Ob-Gyn Coding Alert

Focus on Approach to Overcome 4 Ovarian Cyst Removal Coding Myths
Here's how you could potentially add $184 to your bottom line. Coding for the removal/excision, [...]

Ace Modifier 22 Coding by Applying Expert Advice From 3 FAQs
This U/S tactic will save you time -- and add money to your bottom line. [...]

Hold On to Initial Infertility Visit Dollars With This 2-Part Strategy
Symptoms, not infertility, may help your initial visit claim pass muster. Don't settle for infertility [...]

You Be the Coder :
Include This in Your Laparoscopic RSOs
Question: Our ob-gyn did a laparoscopic right salpingo-oophorectomy (RSO) with excision of small bowel lesion [...]

READER QUESTIONS :
Tackle This Split Postpartum Care Scenario
Question: If an ob-gyn (who is not part of our practice) bills 59515 and does [...]

READER QUESTIONS :
Check Payer for Cord Blood Collection
Question: My ob-gyn did cord blood collection. I have these codes for the procedure: S2140 [...]

READER QUESTIONS :
Want to Bill Prolonged Time? Read This First
Question: If the ob-gyn spends a prolonged amount of time with the patient during a [...]

READER QUESTIONS :
Don't Fall Into 'Repeat Anatomy' Trap for Ob U/S
Question: My ob-gyn is performing ultrasounds for reasons like "repeat anatomy." In other words, he's [...]

READER QUESTIONS :
Get Paid for Pessary Insertions With This Strategy
Question: Recently, we have noticed our payers aren't paying us for pessary insertions. We bill [...]

READER QUESTIONS :
Conquer Your Ob Complications Coding
Question: How should I report a complication during a vaginal and/or cesarean delivery? Georgia Subscriber [...]

READER QUESTIONS :
Try Your Hand at This Adhesions Lysis, Appendectomy Scenario
Question: My ob-gyn documented the following op note: "Omental adhesions made visualization of the pelvis [...]

View All